person
Therese Ann Johnson, PA-C
Medical Physician Assistant in Milwaukee, Wisconsin
NPI 1326081316

Therese Ann Johnson is a Medical Physician Assistant based in Whitefish Bay, WI and is specialized in Medical. Therese Ann Johnson practices in Milwaukee, WI and has the professional credentials of PA-C. The NPI Number for Therese Ann Johnson is 1326081316 and holds a License No. 674-023 (Wisconsin).

The current practice location address for Therese Ann Johnson is 3267 S 16Th Street, Milwaukee, WI and can be reached out via phone at 414-647-5203 and via fax at 414-647-5203. You can also correspond with Therese Ann Johnson through the mailing address at 6053 N SHORELAND AVE, WHITEFISH BAY, WI - 53217-4662 (mailing address contact number: 414-962-0945).

Location: 3267 S 16Th Street, Milwaukee, WI, 53217-4662
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Provider Profile Details
NPI Number
1326081316
Provider Name
Therese Ann Johnson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3267 S 16Th Street, Milwaukee, WI, 53217-4662
Phone Number
414-647-5203
Fax Number
414-647-5203
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
674-023 01 WI WISCONSIN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
3267 S 16Th Street
City
State
Zip
53215
Phone Number
414-647-5203
Fax Number
414-647-5203
person
Provider Business Mailing Address Details
Address
6053 N Shoreland Ave
City
State
Zip
53217-4662
Phone Number
414-962-0945
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
674-023 (Wisconsin)
Definition
Definition to come...
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